Publications by authors named "R N Van Zyl-Smit"

Background: The WHO has highlighted that: "promotion of e-cigarettes has led to marked increases in e-cigarette use by children and adolescents." The long-term neuropsychiatric and psychological consequences of substance abuse in adolescence is well recognised. Limited data exists on the adolescent burden of vaping-related nicotine addiction and behavioural and/or psychological dependence to guide pharmacological or behavioural interventions to stop electronic cigarette usage.

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Background: High-flow nasal oxygen (HFNO) is an accepted treatment for severe COVID-19-related acute hypoxaemic respiratory failure (AHRF).

Objectives: To determine whether treatment outcomes at Groote Schuur Hospital, Cape Town, South Africa, during the third COVID-19 wave would be affected by increased institutional experience and capacity for HNFO and more restrictive admission criteria for respiratory high-care wards and intensive care units.

Methods: We included consecutive patients with COVID-19-related AHRF treated with HFNO during the first and third COVID-19 waves.

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Article Synopsis
  • The study evaluated the efficacy and safety of the RSVPreF3 OA vaccine in seniors (60+) against RSV-related lower respiratory tract disease (RSV-LRTD) over two seasons following either one or two doses.
  • It was a phase 3 blinded trial with 24,967 participants, showing an efficacy of about 67% for both one dose and two doses against RSV-LRTD and consistent results for severe cases.
  • Revaccination after one year was well-tolerated, but it didn't significantly enhance efficacy compared to receiving just one dose.
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Background: In low- and middle-income countries countries, millions of deaths occur annually from household air pollution (HAP), pulmonary tuberculosis (PTB), and HIV-infection. However, it is unknown whether HAP influences PTB risk among people living with HIV-infection.

Methods: We conducted a case-control study among 1,277 HIV-infected adults in Bukavu, eastern Democratic Republic of Congo (February 2018 - March 2019).

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